Regression analysis showed that game elements were associated with gamification ( P<.001). Results: This review of the most popular apps showed widespread use of gamification principles, but low adherence to any professional guidelines or industry standard. A regression analysis was conducted in order to measure the correlation between health behavior constructs, gamification components, and effective game elements. This analysis reviewed a sample of 132 apps for the 10 effective game elements, the 6 core components of health gamification, and 13 core health behavior constructs.

Methods: An analysis of health and fitness apps related to physical activity and diet was conducted among apps in the Apple App Store in the winter of 2014. Objective: The objective of this study was to identify the extent to which gamification is used in health apps, and analyze gamification of health and fitness apps as a potential component of influence on a consumer’s health behavior. However, to our knowledge, there has yet to be a review of gamification elements in relation to health behavior constructs, or insight into the true proliferation of gamification in health apps. LaughModel Health Communication Research GroupĮmail: Gamification has been a predominant focus of the health app industry in recent years.

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